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目的:探讨激光治疗早产儿视网膜病变的疗效。方法:回顾性分析2008年1月～2010年1月采用激光治疗的阈值期阈值前期1型ROP病例19例(37眼),随访均半年以上观察其疗效。结果:35眼治疗反应良好,ROP发生退行性变化。6眼因1次治疗不够需要再次作激光凝固,8眼在治疗后眼底视网膜嵴病变处可见有少量出血,在随访中自行吸收,无其他严重不良反应发生。有2眼效果差,1眼放弃治疗,另1眼被迫行玻璃体切除术。结论:激光是治疗早产儿视网膜病变的安全、有效方法。
Objective: To investigate the effect of laser on retinopathy of prematurity. Methods: Nineteen cases (37 eyes) of type 1 ROP with laser thrombolysis were retrospectively analyzed from January 2008 to January 2010, and the curative effect was observed after more than half a year. Results: 35 eyes responded well and ROP degenerated. 6 eyes due to a lack of treatment once again need for laser coagulation, 8 eyes after treatment retinal ridge lesions showed a small amount of bleeding in the follow-up self-absorption, no other serious adverse reactions. There are two poor eyes, one gave up treatment, the other was forced to undergo vitrectomy. Conclusion: Laser is a safe and effective method for treating retinopathy of prematurity.